Psychology, Department of


Date of this Version

Spring 2010


A DISSERTATION Presented to the Faculty of The Graduate College at the University of Nebraska In Partial Fulfillment of Requirements For the Degree of Doctor of Philosophy, Major: Psychology; Under the Supervision of Professor William D. Spaulding
Lincoln, Nebraska: August, 2010
Copyright 2010 Amanda L. Collins


Dialectical Behavior Therapy (DBT) demonstrates effectiveness in the treatment of individuals diagnosed with Borderline Personality Disorder in an outpatient setting. DBT has also been adapted for inpatient settings and demonstrates effectiveness with this population. To date no published literature examines the effectiveness of the standard outpatient model implemented in an inpatient setting. Furthermore, the literature examining inpatient DBT is done on treatment units where DBT is the sole treatment modality. There is no published literature regarding the use of DBT in conjunction with another treatment program. Therefore, this study examines the effectiveness of the standard outpatient DBT model implemented in conjunction with psychosocial rehabilitation or treatment as usual in a state hospital. This study also examined the effects of neuropsychological functioning and symptomatology on DBT outcome, as all previous research excludes individuals with psychotic disorders, bipolar disorder, and cognitive impairments. Results suggest that the standard outpatient DBT model can benefit individuals in a state hospital, that individuals who receive psychosocial rehabilitation in conjunction with DBT demonstrate more benefit than individuals who receive treatment as usual in conjunction with DBT, that neuropsychological functioning has an impact on DBT outcomes, and that positive symptoms do not impact DBT outcomes.

Adviser: William D. Spaulding